1	Wrist and Hand Complications Philippe Kopylov Lund (Sweden)
2	Complications Skin Bone Tendons Ulna stump instability Prosthesis Osteosynthesis devices
3	Skin complication Haematoma Infection Necrosis Incision Haemostasis
4	Bone complication Fracture Discrepancy bone weakness and patient need Young demanding patient
5	Tendon complications Tendon rupture After synovectomy. Corticoids Bony irregularity in Canal Carpi Osteosynthesis devices Ulna stump
6	Ulna stump instability Frequent In relation with patient activity, demand and need
7	Stability of the Wrist Radiocarpal and midcarpal joints make a bloc Ligaments avoid dislocation both ulnarly and anteriorly In RA carpus tend to slide ulnarly and anteriorly
8	Stability of the Wrist Ulnar head is immobile Weight bearing part of the wrist Radius and carpus attached by ulno-triquetral ligament In RA by ligament distention or bone erosion Radius/carpus dislocated anteriorly Prominence of the ulnar head and Manu Supinata
9	Surgery of the DRU Joint Painfree pronation/supination Caput Ulnae resection Translation of the carpus !!! Ulna stump instability Low vs high patient demand Resection only when necessary Minimal resection Stabilization
10	Prosthesis complications Luxation Fracture of the implant (13% to 25%) Bone erosion (grommets?) Cement Fracture close to the implant Be prepare to revision
11	Osteosynthesis devices Minimal hardware Resorbable Length of the implants
12	Conclusions
13	Wrist and Hand Complications